What interventions would the nurse perform if a pulmonary embolism is suspected
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-Notify the surgeon immediately because pulmonary embolism may be life
threatening & requires immediate action
-Monitor vital signs
-Administer oxygen & medications as prescribed
,Wound evisceration assessment findings
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-Discharge of serosanguineous fluid from a previously dry wound
-The appearance of loops of bowel or or other abnormal contents through
the wound
-Clients reports feeling a popping sensation after coughing or turning
What important information does the nurse need to document during preop
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valuables have been given to a family member or locked in a hospital safe
*last time client ate or drank
*that the client voided before surgery
*prescribed preop meds were given
Hemorrhage
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The loss of a large amount of blood externally or internally in a short time
period
The circulating nurse observes the surgical scrub technician remove a sponge from
the edge of the sterile field with a clamp and place the sponge & clamp in a
designated are. Which action should the nurse implement?
,-Place the sponge back where it was
-Tell the technician not to waste supplies
-Do nothing because this is the correct procedure
-Take the sponge out of the room
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-Do nothing because this is the correct procedure
The nurse must obtain surgical consent forms for the scheduled surgery. Which client
would not be able to consent legally to surgery?
- The 30yr old client who does not understand English.
-The 65yr old client who cannot read or write.
-The 16yr old client who has a fractured ankle.
-The 80yr old client who is not oriented to the day.
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The 16yr old client who has a fractured ankle.
The nurse should implement what interventions in prevention of hypoxemia and/or if
the patient presents with S/S of hypoxemia
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Monitor for S/S of hypoxemia
Notify the surgeon
Monitor lung sounds & pulse oximetry
Admin oxygen as prescribed
, Encourage DB&C & Incentive Spirometer
Turn & reposition the client frequently; encourage ambulation
A preoperative client smokes a pack of cigarettes a day. What is the nurse's teaching
priority for the best physical outcomes?
A - Instruct the client to quit smoking.
B - Teach about the dangers of tobacco.
C - Teach the importance of incentive spirometry.
D - Tell the client that smoking increases postoperative complications.
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B - Teach the importance of incentive spirometry.
The nurse would first teach the importance of incentive spirometry.
Incentive spirometry is good for lung hygiene and it encourages deep
breathing.The nurse can suggest quitting or advice about the dangers of
tobacco, but it is not therapeutic to instruct it at this time. Telling the client
that smoking causes increased complications is not helpful or therapeutic
just prior to surgery.
What is the prupose of a pre-op checklist?
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prevent predictable complications
***Surgical Safety Checklist by: WHO, TJC, & AORN
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-Notify the surgeon immediately because pulmonary embolism may be life
threatening & requires immediate action
-Monitor vital signs
-Administer oxygen & medications as prescribed
,Wound evisceration assessment findings
Give this one a try later!
-Discharge of serosanguineous fluid from a previously dry wound
-The appearance of loops of bowel or or other abnormal contents through
the wound
-Clients reports feeling a popping sensation after coughing or turning
What important information does the nurse need to document during preop
Give this one a try later!
valuables have been given to a family member or locked in a hospital safe
*last time client ate or drank
*that the client voided before surgery
*prescribed preop meds were given
Hemorrhage
Give this one a try later!
The loss of a large amount of blood externally or internally in a short time
period
The circulating nurse observes the surgical scrub technician remove a sponge from
the edge of the sterile field with a clamp and place the sponge & clamp in a
designated are. Which action should the nurse implement?
,-Place the sponge back where it was
-Tell the technician not to waste supplies
-Do nothing because this is the correct procedure
-Take the sponge out of the room
Give this one a try later!
-Do nothing because this is the correct procedure
The nurse must obtain surgical consent forms for the scheduled surgery. Which client
would not be able to consent legally to surgery?
- The 30yr old client who does not understand English.
-The 65yr old client who cannot read or write.
-The 16yr old client who has a fractured ankle.
-The 80yr old client who is not oriented to the day.
Give this one a try later!
The 16yr old client who has a fractured ankle.
The nurse should implement what interventions in prevention of hypoxemia and/or if
the patient presents with S/S of hypoxemia
Give this one a try later!
Monitor for S/S of hypoxemia
Notify the surgeon
Monitor lung sounds & pulse oximetry
Admin oxygen as prescribed
, Encourage DB&C & Incentive Spirometer
Turn & reposition the client frequently; encourage ambulation
A preoperative client smokes a pack of cigarettes a day. What is the nurse's teaching
priority for the best physical outcomes?
A - Instruct the client to quit smoking.
B - Teach about the dangers of tobacco.
C - Teach the importance of incentive spirometry.
D - Tell the client that smoking increases postoperative complications.
Give this one a try later!
B - Teach the importance of incentive spirometry.
The nurse would first teach the importance of incentive spirometry.
Incentive spirometry is good for lung hygiene and it encourages deep
breathing.The nurse can suggest quitting or advice about the dangers of
tobacco, but it is not therapeutic to instruct it at this time. Telling the client
that smoking causes increased complications is not helpful or therapeutic
just prior to surgery.
What is the prupose of a pre-op checklist?
Give this one a try later!
prevent predictable complications
***Surgical Safety Checklist by: WHO, TJC, & AORN
